Organization
STATE OF TENNESSEE
Active
Other names
Hamblen County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE F SHARP (REGIONAL ACCOUNTANT)
(865) 549-5266
Entity
Organization
Contact information
Practice address
331 W MAIN ST, MORRISTOWN, TN 37814-4632
(423) 586-6431
(423) 586-6324
Mailing address
PO BOX 59019, KNOXVILLE, TN 37950-9019
(865) 549-5266
(865) 594-8919
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158624
BLUECROSS BLUESHIELD TN
TN
05
—
4447830
—
TN
Enumeration date
02/02/2007
Last updated
11/16/2009
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